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Missouri rates for HCPCS 50840

Replacement of all or part of ureter by intestine segment, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.57 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.84 / $1,396.53 / $1,425.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.16 / $1,491.48 / $2,395.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.26 / $1,750.58 / $3,214.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.04 / $1,918.17 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.05 / $2,235.61 / $9,764.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.54 / $1,745.59 / $3,481.52